oldiebutgoodie

oldiebutgoodie RN

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All Content by oldiebutgoodie

  1. Admits after 6:00 pm? Does your hospital do this?

    oldiebutgoodie replied to PickMePlze's topic in General Nursing

    I think the solution is to either have an admit nurse who does admits, especially in the 3 to 9PM window, or have strict rules on the unit as to what is expected when an admit comes late in the shift....

  2. Admits after 6:00 pm? Does your hospital do this?

    oldiebutgoodie replied to PickMePlze's topic in General Nursing

    that's a lot of admits! isn't it sad that there are simple, common sense solutions to lots of these issues, but hospital management is so intent on the bottom line that they won't try some of these...

  3. Admits after 6:00 pm? Does your hospital do this?

    oldiebutgoodie replied to PickMePlze's topic in General Nursing

    You obviously work for an enlightened hospital! I

  4. Admits after 6:00 pm? Does your hospital do this?

    oldiebutgoodie replied to PickMePlze's topic in General Nursing

    We ROUTINELY get our admits between 5PM and 7PM. And unfortunately, people tend to code and/or die around shift change, too. I suggested to our manager that we have an admit nurse who works from 2 to...

  5. so our 1st year is almost up: what are your plans

    oldiebutgoodie replied to smileysenior's topic in First Year After Licensure

    Actually, I will hit 2 years in June, and am quitting my regular med-surg job to take a float positiion in a large teaching hospital. I am also going to be a teaching assistant in that hospital's...

  6. How many new nurses are seriously thinking about quiting?

    oldiebutgoodie replied to PACNWNURSING's topic in First Year After Licensure

    8 to 11 patients is insane. I would skedaddle out of there quickly and find a hospital with safer ratios.

  7. Would you recommend nursing to your daughter?

    oldiebutgoodie replied to burn out's topic in General Nursing

    I would recommend she look into becoming a PA, not a nurse. My son is currently a medic in the military, and we have discussed nursing. As a PA, he will make more money and get more respect. However,...

  8. help with a research proposal for BSN assignment...

    oldiebutgoodie replied to evans_c1's topic in General Nursing

    Go to http://www.pubmed.gov and enter search criteria, " hand hygiene alcohol". Lots of articles there. It's a good research topic, but make sure to address how alcohol-based sanitizers are not...

  9. How many new nurses are seriously thinking about quiting?

    oldiebutgoodie replied to PACNWNURSING's topic in First Year After Licensure

    Hear, hear! I am about 2 years into nursing now, and will soon be moving to my 3rd hospital, because the last 2 have treated me and the other nurses like dirt. The pt loads go up, and yet the...

  10. patient acuity system

    oldiebutgoodie replied to nursbjb00's topic in Nurse Management

    Hello, Not a manager, but have done research in the past on this. There is a software product by Quadramed called "AcuityPlus", which was used on an MICU I worked for....

  11. How many new nurses are seriously thinking about quiting?

    oldiebutgoodie replied to PACNWNURSING's topic in First Year After Licensure

    I've been a nurse for almost 2 years, and finally am starting to feel comfortable. However, I will be leaving my current floor soon, due to new financial goals of our hospital which force us to take...

  12. I don't think I hate Med-surg, but I think I do.

    oldiebutgoodie replied to Wheaties's topic in General Nursing

    I am also sick of Med-Surg, and will probably leave the bedside for good this summer. Our hospital, a Magnet hospital (big deal), has just raised our ratio from 5:1 to 6:1, although they still say...

  13. Question about demanding COPD patient

    oldiebutgoodie replied to oldiebutgoodie's topic in Medical-Surgical

    These have all been great suggestions. Too bad with my current patient ratio I have not been able to spend more time with the patient to deal with her discomfort. (sigh). Keep the suggestions coming,...

  14. Question about demanding COPD patient

    oldiebutgoodie replied to oldiebutgoodie's topic in Medical-Surgical

    Good point! As I recall, it was okay, but again, it was a crazy

  15. Question about demanding COPD patient

    oldiebutgoodie replied to oldiebutgoodie's topic in Medical-Surgical

    What causes the sensation of SOB? If her sats are good and there are no objective signs of hypoxia? CO2 buildup? I'm really curious. Thanks,

  16. Question about demanding COPD patient

    oldiebutgoodie replied to oldiebutgoodie's topic in Medical-Surgical

    Tweety, those were good ideas about anxiety meds. I feel bad that I didn't have more time to advocate for the patient (as obnoxious as she was :-( ) because it was one of those 6-patient days with...

  17. Protonix - Why?

    oldiebutgoodie replied to rockermom's topic in General Nursing

    http://ccn.aacnjournals.org/cgi/content/full/26/1/18 An excellent article on stress-related mucosal disease. Regards,

  18. still overwhelmed

    oldiebutgoodie replied to sunneeRN's topic in General Nursing

    Hee hee. Me too! I went to nursing school at age 50 because my other well paying (but unstable) jobs were not fulfilling enough. Now I dream about my unfulfilling jobs! Now I am just nervous and not...

  19. still overwhelmed

    oldiebutgoodie replied to sunneeRN's topic in General Nursing

    I've been a nurse for 1 and a half years, too, and I still feel inadequate. I did ICU for about a year, and got tired of the nastiness of the unit, so I switched to a Medical unit. The people are...

  20. Describe your last day at work in 50 words or less !?

    oldiebutgoodie replied to DutchgirlRN's topic in Medical-Surgical

    Mine, too. Came in, was assigned 2 nursing students, cluster of students hog the charts and computers so can't get any work done. 1. Pt #1 has dialysis, blood orders with dialysis, lab can't draw...

  21. wound question

    oldiebutgoodie replied to pjs40's topic in Wound, Ostomy, Continence

    http://www.guidelines.gov/summary/summary.aspx?doc_id=2159&nbr=001385&string=wound+AND+healing This web site is an index to evidence-based guidelines developed by various medical and nursing...

  22. Whats to Enjoy about Nursing?

    oldiebutgoodie replied to sissyboo's topic in General Nursing

    I'm so sorry about your loss.

  23. Whats to Enjoy about Nursing?

    oldiebutgoodie replied to sissyboo's topic in General Nursing

    I'm 53 and I have been a nurse for about 1 and a half years. Yes, I was the oldest in my nursing school class. I like: 1) My 2 day a week schedule. I work 2 12 hours day (which actually becomes 13...

  24. Unbelievable floor nurses.

    oldiebutgoodie replied to kjblack's topic in MICU, SICU

    Well, I was an ICU nurse right out of school for about a year and a half, and just switched to a med-surg floor, (for many, many reasons!) so I am aware of the differences between the 2 styles. So,...

  25. Thinking out of the box re: Nursing education

    oldiebutgoodie replied to psalm_55's topic in General Nursing

    I think the biggest issue with ADN vs BSN is the cost. In my mind, most anybody doing an ADN program right now is probably just as able to do a BSN program. However, ADN programs are way more...